Remote Case Manager (RN)

CORE Occupational Medicine; Baton Rouge (LA); Remote; USD 88,000 - 120,000; Full time

Job summary

CORE Occupational Medicine is seeking a full-time Case Manager RN to work remotely. The role involves managing injury cases, coordinating care, and providing exceptional service to clients. A competitive compensation package is offered, including health benefits and paid time off.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k)

Paid Holidays

Vacation

Sick Leave

Long-term disability benefits

Short-term disability benefits

Qualifications

• Minimum two years of nursing experience in a clinical setting.
• Valid RN license for the state of LA required.

Responsibilities

• Administers intake of calls from clients and injured workers.
• Coordinates treatment options and provides updates to clients.
• Logs injury details and manages case billing.

Skills

Communication

Triage

Coordination

Education

High School Diploma or GED

Vocational program leading to a nursing license

Job description

6 days ago Be among the first 25 applicants

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Remote Case Manager RN

The Leading Provider of Integrated Occupational Medicine Services
CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. Our programs are designed to align with each clients’ missions, goals, and values to achieve desired outcomes and exceed expectations. As we continue to grow, we are expanding our team of talented professionals.
We are currently seeking a full-time Case Manager (Registered Nurse) to work from home Monday through Friday from 8:30am to 5:00pm, CST.
We offer a highly competitive total compensation package which includes Health, Dental, Vision, Life, 401(k), Six Paid Holidays, Vacation and Sick Leave, Long-term disability and short-term disability benefits, and much more.
To learn more about this exciting opportunity, review the job specifications below:
Position Overview
Under the direction of the Director of Injury Management, the Case Manager administers the intake of calls from contracted clients, injured workers, Worker’s Compensation Insurance adjusters, Medical providers, and clinic staff. Provides exceptional service and quality treatment options to the patient and client throughout the injury management life-cycle.
Principal Duties And Responsibilities (Essential Functions)

• Triage injury/illness calls to determine if emergent/non-emergent
• Determine if injury/illness requires immediate treatment or first aid advice
• Research/locate the nearest facility to utilize for injury
• Contact medical facility to determine the availability of adequate services to meet the needs of the particular injury/illness; Coordination of visit via phone/fax.
• Speak with Medical personnel regarding the mechanism of injury/illness and discuss appropriate treatment pathways, obtaining UDS and BAT when applicable, and workplace accommodation availability.
• Inform client/injured worker of name/location and contact information of medical facility available.
• Notify appropriate contacts via email of injury/illness details with initial information within one hour of notification, unless an extreme situation.
• Provide updates of diagnosis, work status, plan of care and follow up appointments to appropriate personnel with injured worker’s employer and adjuster.
• Provide updates, diagnosis, clinic notes and treatment authorization requests to designated representative for client and Worker’s Compensation insurance adjuster.
• Log injury/illness details on spreadsheet; Client specific
• Enter injured worker, adjuster name and claim number into Billing Portal to apply billing time and status of case as it occurs
• Bill time for each case according to services rendered.
• Field Case Management services for client/injured worker needing onsite Case Management services at the time of visit. This includes communicating directly with the provider and obtaining pertinent paperwork at the visit.
• Generating letters to providers, for clarification of work-relatedness and or treatment plan.
• Obtaining and reviewing Medical records and diagnostics with relation to present injury/illness, prior history and/or forwarding to Specialty providers when allocated.
• Proper documentation of phone calls made and received, interpretation of medical records from each exam, work status, and all emails transpired with regard to each case.
• Coordinate SMO’s with specialists as needed.
• Coordinate FCE’s to determine job capabilities.
• Rotate Call to ensure 24/7/365 CM services; perform duties as stated above for calls received.
• Transfer phone lines every morning and evening for phone coverage 24 hrs a day
• Assist Upper Management in CM activities as requested.
• Answer phones in a professional manner when receptionist is not available.
• Attend and participate in staff meetings.
• Assists in office related tasks as needed.
• Participate in opportunities for learning and skill maintenance/development, including internal and external training and workshops.
• Other duties assigned by the supervisors.

Education

• High School Diploma or GED required and completion of a vocational program leading to a nursing license.

Licensures/Certification

• Must possess and retain a valid RN license for the state of LA (or compact multistate license).
• Obtain a CWCP certification within two (2) years of employment.

Experience

• Minimum two (2) years of nursing experience in a clinical setting, or previous occupational health experience.
• ER, ICU or PACU experience preferred.

Schedule

• Monday - Friday 8:30 a.m. – 5:00 p.m., CST. This position is remote but may require in-office training as necessary. Some at-home, on-call work on a rotating basis is also required.

Training

• Training for this position will be held primarily remotely, but may require in-office training at our corporate office depending on demands of training.

IMPORTANT NOTICE: PLEASE ATTACH ALL LICENSURES, CERTIFICATIONS, EDUCATION, AND DOCUMENTATION TO THE UPLOAD PORTION OF THE APPLICATION
CORE, CHN, and our subsidiaries are Equal Opportunity Employers. EOE/ADAAA/AA
http://www.dol.gov/whd/regs/compliance/posters/fmla.htm
https://www.eeoc.gov/employers/eeo-law-poster
http://www.dol.gov/whd/regs/compliance/posters/eppa.htm

Accessibility: If you need an accommodation as part of the employment process please contact Human Resources at
Phone: [phone]
Email: [e-mail]
Equal Opportunity Employer, including individuals with disabilities and veterans.
If you want to view the Know Your Rights: Workplace Discrimination is Illegal poster, please choose your language: English – Spanish
English – Spanish
English – Spanish
If you want to view the Pay Transparency Policy Statement, please click the link: English

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Health Care Provider
• Industries
• Medical Practices

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